Inspection·March 24, 2023

F 0550 provide privacy during care. Level of Harm - Minimal harm or potential for actual harm This deficiency represents non-compliance investigated under Complaint Number OH00141216. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 2 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, observations, resident and staff interviews, review of facility water temperature logs and review of invoices, the facility failed to ensure comfortable water temperatures were maintained for residents bathrooms and shower room. This affected three (#31, #45, and #46) of three residents reviewed for the physical environment and had the potential to affect 13 (#2, #6, #9, #11, #14, #23, #31, #32, #38, #45, #46, #118, and #309) residents residing on the West-hall. The current census is 56. Findings include: 1. Record review of Resident #45 revealed the resident was admitted to the facility on [DATE]. Diagnoses include conversion disorder with seizures, bipolar disorder, autism, and adjustment disorder. Review of Resident #45's comprehensive Minimum Data Set (MDS) assessment dated [DATE] revealed there was no assessment completed for the mental score. Review of Resident #45's assessments dated 03/08/23 revealed a mental score assessment was conducted and Resident #45 was scored at a 10, indicating cognitive impairment. Review of Resident #45's care plans dated 02/2023 revealed a focus for activities of daily living (ADL) performance in refusal of showers. Interventions include encourage resident to participate, make ADL routine consistent, provide necessary equipment, and notify of complaints and discomfort. Interview and observation on 03/13/23 at 10:53 A.M. of Resident #45 revealed the resident was ambulating through the hallways. Resident #45 had a full facial beard and appeared unkept. Resident #45 answered simple questions and stated he did not know when the last time he showered. Resident #45 did not respond when asked about his bathroom sink water. Observation and interview on 03/13/23 at 2:30 P.M. of Resident #45 revealed the resident was clean shaven and well groomed. Resident #45 stated he had to walk to the other hall to get a shower and it 'bothered' him. 2. Record review of Resident #46 revealed the resident was admitted to the facility on [DATE]. Diagnoses include paraplegia, bipolar disorder, chronic obstructive pulmonary disease, post-traumatic stress disorder, neuromuscular dysfunction, and chronic pain. Review of the comprehensive MDS assessment dated [DATE] revealed the resident had intact cognition and was an extensive two-person assist for ADL. Review of Resident #46's care plans dated 01/26/22 revealed a focus for ADL decline and requiring an extensive assist for ADL's. Interventions include preventative skin care, monitor skin, bed mobility with two assist, transfers with lift, turning and repositioning and peri-care after incontinence. Interview on 03/13/23 at 10:37 A.M. with Resident #46 revealed the resident stated there was no hot water in his bathroom. Resident #46 stated there was also no hot water in the shower room on the West-hall, the hall where he resides. Resident #46 stated the hot water has been gone for about a month. Resident #46 stated he is unable to ambulate down to the other shower room in the East-hall due to his paralysis. Resident #46 stated due to his mobility he has to have bed baths. Resident #46 (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 3 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some stated due to there being no hot water in his bathroom his bed baths are often cold and uncomfortable because the aide will use the water out of the bathroom to fill the basins for his baths. Resident #46 stated he has reported the issues to the Maintenance Manager many times with no repairs being made. Observation on 03/13/23 at 10:44 A.M. of Resident #46's water temperature in the bathroom revealed the sink water was turned on to 'hot' and did not warm up to touch. The water temperature never reached a comfortable warm temperature and stayed lukewarm during the observations. 3. Record review of Resident #31 was admitted to the facility on [DATE]. Diagnoses include fracture of left humerus, heart failure, dwarfism, hemiplegia, abnormal posture, and depression. Review of the comprehensive MDS assessment dated [DATE] revealed the resident had intact cognition and was a two-person assist for ADL. Review of Resident #31's care plans dated 09/2017 revealed a focus for ADL required assistance due to hemiplegia. Interventions include assist resident with showers twice a week and as needed upon request, if resident refuses care re-approach at later time, and allow time for a task do not rush. Interview on 03/14/23 at 1:22 P.M. with Resident #31 revealed the resident was alert and oriented and able to recall details of past days. Resident #31 stated it had been over a month since the hot water had been functional in her bathroom and on the West-hall. Resident #31 stated the aides will tell her she is refusing to take a shower or bed bath if she tells them she wants warm or hot water brought to her room for her bed bath. Resident #31 stated she is tired of ambulating to the other hall's shower room to take a hot shower. Resident #31 stated the other hall has a lot of residents waiting to take showers and she feels uncomfortable ambulating back from the shower room. Resident #31 stated she will accept bed baths but only when the aides get hot water from some other area and bring it to her room to wash her up. Resident #31 stated she has not refused any baths, but stated she request hot water to bath with. Interview on 03/13/23 at 12:40 P.M. during an environmental tour with Director of Maintenance (DM) #16 stated the plumber repaired a cartridge for the West-hall on 03/10/23 and was to return on 03/15/23. DM #16 stated he has received reports from residents and staff regarding the cold temperatures of the water in the West-hall and stated the only rooms affected were Resident #7, Resident #46, and the shower room. DM #16 stated most residents are able to ambulate down to the East-hall shower room but stated he understood there were residents unable to bath in the other hall's shower room. DM #16 stated the West-hall water supply has been affected by the broken cartridge since 02/2023. DM #16 stated he was told by the plumber the valves and cartridges needed replaced but they would have to wait until the facility's warranty was checked and the new parts would be sent after replacement parts were available. DM #16 stated he had to wait for approval for the replaced old parts instead of new parts being purchased. Observation of the water temperature in the West-hall shower room revealed the water temperature did not rise above 100 degrees Fahrenheit (F). DM #16 stated the normal range for water temperatures is 105 degrees F to 115 degrees F. DM #16 verified Resident #46, #45, and Resident #31's bathrooms were affected by the cold-water temperature issue and stated he scheduled the plumber to return on 03/15/23 to repair the hot water supply. Interviews on 03/13/23 and 03/14/23 throughout the survey with Licensed Practical Nurse (LPN) #58 (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 4 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some and State Tested Nurse Aide (STNA) #82 revealed all residents on the West-hall have reported the issues with the cold water. Per the staff the residents who are able to ambulate are taken down the other hall for their showers. Per the staff the showers are often given when the other hall residents are not using the shower room and the schedule does get hectic. The staff stated the staff are to get hot water from the other halls bathrooms in the basins and bring it to the rooms of the residents on the West-hall who are to receive bed baths. Per STNA #82 there have been resident complaint regarding bed bath water being uncomfortable due to the temperatures. The staff stated they have reported to DM #16 about the water temperatures and are told it is being worked on. The facility confirmed there were 13 (#2, #6, #9, #11, #14, #23, #31, #32, #38, #45, #46, #118, and #309) residents residing on the West-hall that could potentially be affected. Review of the facility's water temperature logs dating from 02/2023 to 03/2023 revealed the facility was not testing the West-hall resident rooms or the West-hall shower room. Review of the facility's work invoices from the plumber and emails regarding the repairs revealed on 02/06/23 the facility sent an email requesting a replacement Mixing Valve-Flow be sent to the facility. The response dated 02/09/23 revealed the plumbing company requested the facility send back the broken valve for warranty and replacement. The facility was informed the process to replace the valve could take 10 business days. On 02/16/23 the facility was notified by email the replacement part would arrive in five to seven business days. Review of the facility's invoices revealed on 03/10/23 the plumber installed a new mixing valve. Per the invoice on 03/15/23 the plumber returned and stated he found more issues with the cartridge and other elements on the hot water heater. This deficiency represents non-compliance investigated under Complaint Number OH00140630. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 5 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0636 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Based on medical record review, staff interview and review of the Resident Assessment Instrument (RAI) Manual 3.0, the facility failed to complete a comprehensive Minimum Data Set Assessment (MDS) within the required time frame. This affected two (#58 and #259) of two residents reviewed for comprehensive assessments. The facility census was 56. Findings include: 1. Review of the medical record for Resident #259 revealed an admission date of 02/18/23 with medical diagnoses of Alzheimer's disease, unspecified psychosis, hypertension, chronic obstructive pulmonary disease (COPD), and depression. Review of the medical record for Resident #259 revealed an admission comprehensive MDS, with assessment reference date (ARD) of 02/23/23, which indicated Resident #259 had moderate cognitive impairment and required supervision with bed mobility, transfers, toileting, ambulation and eating. Review of the MDS revealed a completion date of 03/08/23. 2. Review of the medical record for Resident #58 revealed an admission date of 12/30/22 with medical diagnoses of rhabdomyolysis, hyperlipidemia, obesity, diabetes mellitus with neuropathy, and hypertension. Review of the medical record for Resident #58 revealed an admission comprehensive MDS, with ARD 01/10/23, which indicated Resident #58 was cognitively intact and required extensive assist with bed mobility, transfers, toileting, and dependent for bathing. Review of the MDS revealed a completion date of 01/17/23. Interview on 03/15/23 at 9:37 A.M. with Regional Nurse #34 stated the facility utilized the RAI manual for their MDS policy and followed the RAI guidelines for MDS completion date requirements. Interview on 03/15/23 at 3:12 P.M. with Regional MDS Nurse #176 confirmed Resident #259 and #58's comprehensive MDS assessments were not completed on the 14th day of the resident's admission to the facility as per the RAI guidelines. Review of the RAI manual revealed an admission comprehensive MDS must be completed on the 14th day of the resident's admission to the facility. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 6 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0637 Assess the resident when there is a significant change in condition Level of Harm - Minimal harm or potential for actual harm Based on medical record review, staff interview and review of the Resident Assessment Instrument (RAI) Manual 3.0, the facility failed to complete a significant change in status assessment (SCSA) Minimum Data Set Assessment (MDS) within the required time frame. This affected one (#52) of two residents reviewed for Hospice services. The facility census was 56. Residents Affected - Few Findings include: Review of the medical record for Resident #52 revealed an admission date of 03/09/22 with medical diagnoses of diverticulitis of intestine, atherosclerotic heart disease (ASHD), major Depression, schizophrenia, unspecified psychosis, and dementia. Review of the medical record for Resident #52 revealed a SCSA MDS with assessment reference date (ARD) 02/28/23 which indicated Resident #52 had severely cognitive impairment and required extensive assistance with bed mobility, transfers, toileting, and was dependent for bathing. The MDS indicated Resident #52 received Hospice services. The completion date for Resident #52's SCSA MDS was dated 03/14/23. Review of the medical record for Resident #52 revealed a physician order dated 02/24/23 for Hospice services. Interview on 03/15/23 at 9:37 A.M. with Regional Nurse #34 stated the facility utilized the RAI manual for their MDS policy and followed the RAI guidelines for MDS completion date requirements. Interview on 3/15/23 at 3:12 P.M. with Regional MDS Nurse #176 confirmed Resident #52's SCSA MDS was not completed per RAI guidelines. Review of the RAI manual, hospice election is an automatic requirement for a significant change in status assessment. The ARD must be within 14 days from the effective date of the hospice election and the SCSA MDS completion date can be no later than the 14th calendar day after determination date (hospice election date). FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 7 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0638 Assure that each resident’s assessment is updated at least once every 3 months. Level of Harm - Minimal harm or potential for actual harm Based on medical record review, staff interview and review of the Resident Assessment Instrument (RAI) Manual 3.0, the facility failed to complete quarterly Minimum Data Set Assessment (MDS) within the required time frame. This affected three (#24, #26, and #52) of three residents reviewed for quarterly assessments. The facility census was 56. Residents Affected - Few Findings include: 1. Review of the medical record for Resident #24 revealed an admission date of 08/11/22 with medical diagnoses of schizoaffective disorder, hypertension, Intellectual disabilities, major Depression, bipolar disorder, and anxiety. Review of the medical record for Resident #24 revealed a quarterly MDS, with ARD 02/23/23, which indicated Resident #24 was cognitively intact and required extensive assistance with bed mobility, transfers, toileting and bathing. Review of the MDS revealed a completion date of 03/09/23. 2. Review of the medical record for Resident #26 revealed an admission date of 11/08/19 with medical diagnoses of schizoaffective disorder, major depression, diabetes mellitus, and psychotic disorders with delusions. Review of the medical record for Resident #26 revealed a quarterly MDS, with ARD 01/23/23, which indicated Resident #26 was severely cognitively impaired and required supervision with bed mobility, transfers, ambulation, dressing, and toileting. Review of the MDS revealed a completion date of 02/07/23. 3. Review of the medical record for Resident #52 revealed an admission date of 03/09/22 with medical diagnoses of diverticulitis of intestine, atherosclerotic heart disease (ASHD), major Depression, schizophrenia, unspecified psychosis, and dementia. Review of the medical record for Resident #52 revealed a quarterly MDS, with ARD of 01/22/23, indicated severe cognitive impairment and required extensive assist with bed mobility, transfers, dressing, toileting, and was dependent upon staff for bathing. Review of the MDS revealed a completion date of 02/06/23. Interview on 03/15/23 at 9:37 A.M. with Regional Nurse #34 stated the facility utilized the RAI manual for their MDS policy and followed the RAI guidelines for MDS completion date requirements. Interview on 3/15/23 at 3:12 P.M. with Regional MDS Nurse #176 confirmed Residents #24, #26, and #52 quarterly MDS assessments were not completed timely as per the RAI guidelines. Review of the RAI manual revealed a quarterly MDS completion date must be no later than 14 days after the ARD. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 8 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0641 Ensure each resident receives an accurate assessment. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff interviews, and review of the Resident Assessment Instrument (RAI) Manual 3.0, the facility failed to accurately code Minimum Data Set (MDS) assessments. This affected two (#4 and #26) out of the six residents reviewed for MDS accuracy. The facility census was 56. Residents Affected - Few Findings include: 1. Review of the medical record for Resident #26 revealed an admission date of 11/08/19 with medical diagnoses of schizoaffective disorder, major depression, diabetes mellitus, and psychotic disorders with delusions. Review of the medical record for Resident #26 revealed a quarterly MDS, with an assessment reference date (ARD) of 01/23/23, which indicated Resident #26 was severely cognitively impaired and required supervision with bed mobility, transfers, ambulation, dressing, and toileting. Review of the MDS revealed Resident #26 received an antibiotic for two days during the review period. Review of the medical record for Resident #26 revealed the January Medication Administration Record (MAR) did not have documentation to support Resident #26 received an antibiotic during the review period. Interview on 03/16/23 at 1:09 P.M. with Regional MDS Nurse #176 confirmed Resident #26 did not receive an antibiotic during the review period. 2. Medical record review for Resident #4 revealed an admission on [DATE] with diagnoses including but not limited to schizophrenia, history of Coronavirus Disease 2019 (COVID-19), neuromuscular dysfunction bladder, insomnia, urine retention, cognitive communication deficit, type two diabetes mellitus, anxiety, memory deficit following cerebrovascular disease. Review of the annual MDS, with an ARD of 01/09/23 for Resident #4 revealed resident is rarely or never understood. Verbal behaviors towards others occurred one to three days during the assessment period. Resident #4 required extensive assist with two staff members for bed mobility, transfers, and extensive assist from two staff members for toileting. Resident #4 required extensive assist for eating. No hospice was coded. Review of the plan of care dated 03/07/23 for Resident #4 revealed resident received hospice services related to failure to thrive due to schizophrenia and anxiety. Resident #4 is followed by hospice. Interventions included contact Hospice for changes in resident condition, hospice services as ordered, hospice to collaborate care with facility staff, inspect skin during care, provide emotional support and comfort measures, and provide oral hygiene frequently. Interview on 03/14/23 at 9:30 A.M. with Licensed Practical Nurse (LPN) #129 stated Resident #4 was on hospice services but it has been discontinued last month. Interview on 03/15/23 at 10:14 A.M. with Regional MDS/Registered Nurse (RN) #176 stated Resident #4 was only receiving palliative services from hospice from 02/04/21 through 02/20/23. Interview on 03/15/21 at 3:17 P.M. with Registered Nurse (RN) #34 verified Resident #4 was no (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 9 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0641 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete longer receiving palliative hospice services. Further stated the hospice plan of care was added in error and would be deleted. Request for a policy related to MDS coding during the survey and was advised the facility follows the Resident Assessment Manual. Review of the RAI Manual 3.0 page 4-11 states the residents care plan must be reviewed after each assessment and revised based on changing goals, preferences and need of the resident and in response to current interventions. Further review of the RAI Manual 3.0 page 1-7 stated the RAI process has multiple regulatory requirements that require the assessment to accurately reflect the resident health at the time of completion. Review of the RAI manual, stated the assessment should indicate the number of days the resident received medications, by pharmacological classification, for the review period. Per the RAI manual, the pharmacological classifications that require documentation of medications given during the review period include antipsychotic, antianxiety, antidepressant, hypnotic, anticoagulant, antibiotic, diuretic, and opioid medications. Event ID: Facility ID: 365483 If continuation sheet Page 10 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0645 PASARR screening for Mental disorders or Intellectual Disabilities Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, staff interview, review of the facility policy and review of the Ohio Department of Medicaid website, the facility failed to ensure the Preadmission Screening and Resident Review (PASARR) was accurately completed. This affected one (#39) of one resident reviewed for PASARR accuracy. The facility censes was 56. Residents Affected - Few Findings include: Medical record review for Resident #39 revealed an admission on [DATE] with diagnoses altered mental status, psychosis, depression, pain in left knee, gastroesophageal reflux disease, anxiety, obesity, spinal stenosis, hypertension, disease of spinal cord, encephalopathy, low back pain, viral hepatitis C, bipolar disorder, hypothyroidism, adult failure to thrive, paranoid personality, delusional disorder, infectious and parasitic disease, and hyperlipidemia. Review of quarterly Minimum Data Set (MDS) assessment for Resident #39 dated 02/08/23 revealed impaired cognition. Resident #39 required limited assist for bed mobility, transfers, and toileting from one staff member. Resident #39 was supervised for meal consumption. Resident #39 received antipsychotic's, and antidepressants during the look back period. Review of the plan of care for Resident #39 revealed resident was at risk for side effects related to psychotropic and antidepressant medications. Interventions included administer and monitor lab tests as ordered and report to physician and/or nurse practitioner, administer medications as ordered, complete abnormal involuntary movement scale (AIMS) assessment, monitor for psychotropic/antidepressant drug related complications, monitor resident for side effects from medications, and notify physician or nurse practitioner if side effects or indicators of overdose are observed, and psychological evaluations as needed. Review of the Preadmission Screening and Resident Review for Resident #39 dated 11/09/22 revealed mood disorder and psychotic disorder was not documented on the screening. Interview on 03/15/23 at 10:25 A.M. with Social Service Designee (SSD) #10 verified bipolar disorder and psychosis should have been on Resident #39's PASARR and it was not. A policy for the completion of the PASARR was requested during the survey and the facility advised they follow the PASARR rule. Review of the Ohio Department of Medicaid website for PASARR completion revealed the purpose of the PASARR is to ensure individuals are admitted to the most appropriate settings. The PASARR should include a complete and accurate information to the best of their knowledge. The facility failed to ensure all current mental diagnoses were included on the screen after readmission from the hospital. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 11 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff and resident interviews, review of Resident Assessment Instrument Manual (RAI) 3.0, the facility failed to conduct care plan review meetings quarterly and failed to include the resident, members of the facility interdisciplinary team (IDT), or resident representative in the care plan review meetings. This affected four (#26, #31, #41, and #48) of the six residents reviewed for quarterly care plan meetings. Additionally, the facility failed to remove a hospice care plan when the services were discontinued. This affected one (#4) of one residents reviewed for hospice services. The facility census was 56. Findings include: 1. Review of the medical record for Resident #26 revealed an admission date of 11/08/19 with medical diagnoses of schizoaffective disorder, major depression, diabetes mellitus, and psychotic disorders with delusions. Review of the medical record for Resident #26 revealed a quarterly Minimum Data Set (MDS), with an assessment reference date (ARD) of 01/23/23, which indicated Resident #26 was severely cognitively impaired and required supervision with bed mobility, transfers, ambulation, dressing, and toileting. Review of the medical record for Resident #26 revealed a care planning meeting note, dated 11/30/22, which did not have documentation to support the resident, resident representative or guardian were invited or attended the meeting. The care plan meeting note had signatures of two staff members that attended the meeting. Further review of the medical record for Resident #26 revealed a late entry note for a care plan review meeting dated 02/17/22. The note stated the IDT was present and guardian was notified. The note did not have documentation to support the names or disciplines of the members of the IDT that were present for the meeting or if the guardian attended in person or via phone. Interview on 03/15/22 at 3:02 P.M. with [NAME] President of Operations (VPO) #36 confirmed the medical record for Resident #26 did not contain documentation to support the Resident #26 or the resident's guardian attended the care plan review meeting. VPO #36 also confirmed the documentation did not include the disciplines or the names of the members of the IDT that were present for the meeting on 02/17/23. 2. Review of the medical record for Resident #41 revealed an admission date of 12/09/20 with medical diagnoses of benign paroxysmal vertigo, chronic obstructive pulmonary disease (COPD), chronic kidney disease stage III, and protein calorie malnutrition. Review of the medical record for Resident #41 revealed a quarterly MDS, with an ARD of 01/04/23, which indicated Resident #41 was severely cognitively impaired and required supervision with bed mobility, transfers, ambulation, toileting and extensive assistance with bathing. Review of the medical record for Resident #41 revealed a care plan meeting note, dated 10/12/22 which indicated members of the IDT were present but did not include the IDT member disciplines or names and stated the guardian was notified. The care plan meeting note did not have documentation to support the resident or guardian attended in person or via phone. Further review of the medical record for Resident #41 revealed no documentation to support the facility conducted a care plan review (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 12 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0657 meeting since 10/12/22. Level of Harm - Minimal harm or potential for actual harm Interview on 03/15/22 at 3:02 P.M. with VPO #36 confirmed the medical record for Resident #41 did not contain documentation to support the facility conducted a quarterly care plan review meeting since the meeting on 10/12/22. Residents Affected - Some 3. Review of the medical record for Resident #48 revealed an admission date of 07/1/22 with medical diagnoses of hypertension, COPD, adjustment mood disorder, dementia with behavioral disturbances and major depression. Review of the medical record for Resident #48 revealed a quarterly MDS, with an ARD of 01/06/23 which indicated Resident #48 had severe cognitive impairment and required limited assistance with bed mobility and transfers and extensive assistance with toileting and bathing. Review of the medical record for Resident #48 revealed a care plan review meeting was conducted on 10/12/22. The care plan meeting note indicated the IDT was present and the guardian was updated. Further review of the medical record for Resident #48 revealed no documentation to support the facility conducted a care plan review meeting since 10/12/22. Interview on 03/15/23 at 3:02 P.M. with VPO #36 confirmed the medical record for Resident #48 did not contain documentation to support the facility conducted a care plan review meeting since 10/12/22. 4. Record review for Resident #31 revealed the resident was admitted to the facility on [DATE]. Diagnoses for Resident #31 include fracture of the left humerus, obesity, dwarfism, cerebral infarction, heart failure, chronic obstructive pulmonary disease, hemiplegia, osteoarthritis, convulsion, and fibromyalgia. Review of Resident #31's comprehensive MDS assessment dated [DATE] revealed Resident #31 had intact cognition. Review of Resident #31's social work progress notes revealed a care conference dated 08/06/22 was the last document entered into the resident's medical record for care conferences. Interview on 03/14/23 at 1:17 P.M. with Resident #31 revealed the resident was alert and oriented and able to recall dates and details. Resident #31 stated the facility has not invited her to a care conference since 08/2022. Per the interview with Resident #31, she has requested a care conference recently to discuss with the team her recent injury and the plan to get her back into her motorized wheelchair. Resident #31 stated the staff are not updating her on her care plans or the changes of care. Resident #31 denied being invited to any care conferences within the last two quarters. Review of Resident #31's most recent care conference document, not located in the resident's electronic or paper chart, was dated 11/16/22 revealed only two staff members attended a care conference for Resident #31. Per the document the resident nor a representative was present at the conference. Interview on 03/15/23 at 3:00 P.M. with Regional Quality Assurance (QA) Nurse #34 verified Resident #31 had not had a care conference in 2023. Per the QA Nurse #34 there was no evidence Resident #31 was invited to the care conference on 11/16/22. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 13 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Interview on 03/15/23 at 3:15 P.M. with Resident #31 revealed the resident did not recall being invited to the care conference held on 11/16/22. Per the resident if she were invited, she would have attended to discuss her care. 5. Medical record review for Resident #4 revealed an admission on [DATE] with diagnoses including but not limited to schizophrenia, history of Coronavirus Disease 2019 (COVID-19), neuromuscular dysfunction bladder, insomnia, urine retention, cognitive communication deficit, type two diabetes mellitus, anxiety, memory deficit following cerebrovascular disease. Review of the annual MDS dated [DATE] for Resident #4 revealed resident is rarely or never understood. Verbal behaviors towards others occurred one to three days during the assessment period. Resident #4 required extensive assist with two staff members for bed mobility, transfers, and extensive assist from two staff members for toileting. Resident #4 required extensive assist for eating. No hospice was coded. Review of the plan of care dated 03/07/23 for Resident #4 revealed the resident received hospice services related to failure to thrive due to schizophrenia and anxiety. Resident #4 is followed by hospice. Interventions included contact Hospice for changes in resident condition, hospice services as ordered, hospice to collaborate care with facility staff, inspect skin during care, provide emotional support and comfort measures, and provide oral hygiene frequently. Interview on 03/14/23 at 9:30 A.M. with Licensed Practical Nurse (LPN) #129 stated Resident #4 was on hospice services but it has been discontinued last month. Interview on 03/15/23 at 10:14 A.M. with Regional MDS/Registered Nurse (RN) #176 stated Resident #4 was only receiving palliative services from hospice from 02/04/21 through 02/20/23. Interview on 03/15/21 at 3:17 P.M. with RN #34 verified Resident #4 was no longer receiving palliative hospice services. RN #34 further stated the hospice plan of care was added in error and would be deleted. Interview on 03/16/23 at 2:36 P.M. with VPO #36 stated the facility did not have a policy for review of care plans or care plan review meetings and was advised the facility follows the RAI manual for procedures for care plan reviews. Review of the RAI Manual 3.0 page 4-11 states the residents care plan must be reviewed after each assessment and revised based on changing goals, preferences and need of the resident and in response to current interventions. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 14 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0685 Assist a resident in gaining access to vision and hearing services. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, observations, staff interview and facility policy review, the facility failed to provide care and services to maintain or improve communication. This affected one (#16) of one residents reviewed for communication. The facility census was 56. Residents Affected - Few Findings include: Medical record review for Resident #16 revealed an admission on [DATE] with diagnoses include fracture of left pubis, anxiety, urinary tract infection, repeated falls, diabetes with neuropathy, delusional disorders, osteoarthritis, gastroesophageal reflux disease, low back pain, extended spectrum beta lactamase resistance, and psychotic disorder with delusions. Review of the minimum data set (MDS) assessment dated [DATE] for Resident #16 revealed impaired cognition. Resident #16 was coded with adequate hearing. Resident #16 requires supervision for bed mobility, eating and toileting. Review of the plan of care for Resident #16 dated 05/13/17 and revised on 05/11/22 revealed the resident has difficulty at times understanding what is being communicated to her related to mild impaired cognition, psychotic disorder with delusions, vascular dementia, paranoid personality, anxiety, and depression. Content may need to be repeated and/or rephrased. Interventions include if Resident #16 is unable to comprehend what is being said, use brief simple wording or rephrase wording, minimize, or eliminate environmental distractions, monitor and report to physician any significant changes in residents' communication ability, monitor need for consultation, provide treatment as ordered for speech therapy, speak clearly and slowly to resident, when speaking to resident, and stand where resident can see your face and mouth. Review of audiology visit for Resident #16 dated 02/20/23 revealed a referral was made on 11/02/22 for complaints of vertigo and newly decreased hearing. Further review of the document revealed an area for additional comments and revealed wax needs removed from both ears, too deep for curette (high powered lighted microscope with loop) removal. Review of physician orders for Resident #16 revealed an order dated 01/15/20 for Resident #16, may consult with dentist, podiatrist, audiology an psych services as needed and an order dated 03/16/23 for an appointment with ears, nose and throat (ENT) physician on 05/09/23 at 2:50 P.M. Interview on 03/13/23 at 1:33 P.M. with Resident #16 stated someone came to the facility and looked at my ears. Resident #16 stated they were not able to remove the wax in my ears and took impressions for hearing aids. Resident #16 stated that was a month ago and they have not been back. Resident #16 states that her hearing is getting worse and need to ask people to repeat conversations now and didn't have to do that before as much. Interview on 03/16/23 at 2:35 P.M. with [NAME] President of Operations #36 verified the appointment was not made regarding Resident #16's follow up appointment. A request for policy or procedure regarding follow up appointments or referrals was requested during the survey and not provided for review. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 15 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, and review of facility policy, the facility failed to ensure medications were properly stored. This affected one (Resident #46) with the potential to affect five (Residents #50, #32, #37, #22, and #27) identified by the facility as cognitively impaired and ambulatory. The facility's census was 56. Findings include: Medical record review for Resident #46 revealed an admission date of 12/26/22 with diagnoses including chronic pain, low back pain, bipolar disorder, chronic obstructive pulmonary disease, depression, migraine disorder, chronic insomnia due to mental disorder, chronic constipation, pressure ulcer, hypertension, obesity, osteomyelitis, type two diabetes, and Coronavirus 2019 (COVID-19). Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #46 had intact cognition. Resident #46 required extensive assistance to total assistance for bed mobility, transfers, and toileting. Resident #46 was supervised for meal consumption. Review of the active physician orders for Resident #46 revealed orders for Humalog (insulin) solution 100 unit/milliliter (ml) inject per sliding scale at 6:00 A.M., 11:00 A.M. and 4:00 P.M., and oxycodone (pain medication) oral tablet 5 milligrams (mg) one tablet by mouth every six hours as needed for pain. Observation on 03/13/23 at 11:53 A.M. revealed Licensed Practical Nurse (LPN) #58 set a medication administration cup with one small white pill, a bottle of Flonase, a glucometer with a testing strip in the device, an alcohol pad, and artificial eye drops on top of a three drawer cart outside of Resident #46's room. LPN #58 turned her back and walked back to the medication cart, sitting in front of the nurse's station, leaving the medication unattended, to retrieve an insulin vial. Resident #7 was observed ambulating past the unattended medication. Interview on 03/13/23 at 11:55 A.M. with LPN #58 verified she forgot the resident's insulin and left medication on the three-drawer cart outside of the room unattended, while she went to the medication cart by the nurse's station. LPN #58 verified she should not have left medications unattended. During the time of the interview, LPN #58 did not know what the medication was in the medication administration cup. Review of the Medication Administration Record (MAR) revealed Resident #16 was administered oxycodone on 03/13/23 at 11:46 A.M. indicating the white pill was the oxycodone. Review of the staff education dated 03/13/23 revealed Clinical Operations Specialist Registered Nurse (RN) #32 educated LPN #58 to the proper storage and administration of medications. Document was physically signed by LPN #58 and RN #32. Review of a highlighted list provided by the facility revealed Residents #50, #32, #37, #22, and #27 were cognitively impaired and mobile. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 16 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0761 Level of Harm - Minimal harm or potential for actual harm Review of the facility policy titled, Storage of Medication, dated 04/2019 revealed drugs and biologicals used in the facility are stored in locked compartments under proper temperature, light, and humidity controls. Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 17 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0802 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Based on observation and staff interview, the facility failed to ensure there was sufficient dietary staff to carry out functions of the nutrition services. This affected four (Residents #46, #23, #19, and #31) and had the potential to affect all residents residing in the facility, as all residents received their meals from the facility's kitchen. The facility's census was 56. Findings include: Interview on 03/13/23 at 9:05 A.M. with Dietary Manager (DM) #24 stated there were two aides and one cook working in the facility's kitchen, which was not enough staff to serve residents in the main dining room and halls. DM #24 verified the dining room was closed due to insufficient kitchen staffing. DM #24 reported she requested additional staff, and the facility did hire one new cook who started training on 03/13/23. Observations on 03/13/23, 03/14/23, 03/15/23, and 03/16/23 during mealtimes revealed the main dining room was closed to residents, and meals were served via hall trays to resident rooms. Interview on 03/13/23 at 10:47 A.M. Resident #46 verified the dining room was closed and the resident's preference was to be able to eat their meals in the dining room instead of their room. Interview on 03/13/23 at 11:50 A.M. Resident #23 verified the dining room was closed and the resident's preference was to be able to eat their meals in the dining room instead of their room. Interview on 03/14/23 at 9:54 A.M. Resident #19 verified the dining room was closed and the resident's preference was to be able to eat their meals in the dining room instead of their room. Interview on 03/14/23 at 1:19 P.M. Resident #31 verified the dining room was closed and the resident's preference was to be able to eat their meals in the dining room instead of their room. Observation and interview on 03/15/23 at 11:00 A.M. of the lunch meal service revealed DM #24 was not present. Director of Dietary (DD) #180 reported she worked for a sister facility and was helping the facility during the annual survey. DD #180 reported DM #24 and the new cook who started training on 03/13/23, both quit on 03/13/23. DD #180 verified when DM #24 and the cook quit, the kitchen was left with only two aides for dietary staff. DD #180 reported she was only scheduled to work in the facility until 03/17/23, the end of the annual survey. Interview on 03/15/23 at 11:30 A.M. with Dietary Aide (DA) #104 verified after 03/17/23, there would be only two aides working in the kitchen, herself and DA #104. DA #112 verified the facility was not serving meals in the dining room due to there not being enough aides to serve the residents in the dining room and prepare and deliver the hall trays. DA #112 appeared rushed, stressed, and sorrowful throughout the interview as evidenced by looking as if she was about to cry, and she never stopped working plating food, throughout the interview. DA #112 also reported DA #104 was a newer staff member, so she was also juggling training DA #104 at the same time. Interview on 03/16/23 at 3:30 P.M. [NAME] President (VP) of Operation #36 verified the insufficient staffing levels for the dietary department. Per VP #36, the plan was to hire a new director. VP #36 stated after 03/17/23, the facility's administrator would be cooking and serving meals, however (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 18 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0802 when requested to provide the administrator's dietary credentials, nothing was provided. Level of Harm - Minimal harm or potential for actual harm A kitchen staffing schedule was requested on 03/13/23 and 03/15/23 and was not provided. Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 19 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, observation, staff interview, review of facility policy, and of Centers of Disease Control and Prevention (CDC) guidance, the facility failed to ensure a urinary catheter bag was appropriately secured off the floor. This affected one (Resident #4) of one resident reviewed for urinary catheter bag infection control. The facility failed to follow proper isolation procedures for a resident positive with Coronavirus 2019 (COVID-19). This affected one (Resident #46) of one resident reviewed for COVID-19 isolation procedures. The facility failed to ensure staff utilized appropriate Personal Protective Equipment (PPE) when interacting with residents, while the facility had an outbreak of COVID-19 and the community transmission rate was high. This affected one (Resident #15) observed during a staff interaction. Additionally, the facility failed to administer medications following infection control procedures. This affected one (Resident #48) of one resident observed for infection control procedures during medication administration. The facility's census was 56. Residents Affected - Some Findings include: 1. Medical record review for Resident #4 revealed an admission on [DATE] with diagnoses including schizophrenia, history of COVID-19, neuromuscular dysfunction bladder, and type two diabetes mellitus. Review of the comprehensive Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #4 was rarely or never understood. Resident #4 required extensive assistance of two staff members for bed mobility, transfers, and toileting. Resident #4 required extensive assistance with eating. Resident #4 was coded as having an indwelling catheter. Review of the plan of care dated [DATE], revealed Resident #4 was at risk for urinary tract infections secondary to use of a Foley catheter due to neurogenic bladder. Interventions included change Foley catheter as needed for obstruction, plugging or displacement, administer antibiotics as ordered/when ordered, change Foley catheter bag per policy and as needed, encourage leg strap, flush catheter as ordered, if change in urine color, consistency output or signs of infection are noted notify the physician, provide catheter care as ordered, and if resident becomes symptomatic, take vital signs and notify physician. Review of the active physician orders for Resident #4 revealed an order dated [DATE] for a urinary catheter, as needed, for neuromuscular dysfunction of bladder. Observation on [DATE] at 2:10 P.M. revealed Resident #4 resting in bed with a catheter bag attached to the metal bed frame. The catheter bag was resting on the floor and did not have a barrier bag between the floor mat and the bag. A dignity bag was placed over the top of the bag only and did not cover the bottom. Interview on [DATE] at 2:10 P.M. with Licensed Practical Nurse (LPN) #129 verified Resident #4's catheter bag was resting on the floor and did not have a barrier between the floor mat and the bag. LPN #129 verified the bag should not be touching the floor. Observation on [DATE] at 8:49 A.M. revealed Resident #4 resting in bed with catheter bag attached to the metal bed frame. The catheter bag was resting on the floor and did not have a barrier bag between the floor mat and the bag. A dignity bag was placed over the top of the bag only and did not (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 20 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0880 cover the bottom. Level of Harm - Minimal harm or potential for actual harm Interview on [DATE] at 9:01 A.M. with LPN #48 verified the catheter bag was resting on the floor and did not have a barrier between the floor mat and the bag. LPN #48 verified the bag should not be touching the floor. Residents Affected - Some Review of the facility policy titled, Catheter Care, Urinary, dated 09/2014 revealed under the section titled, Infection Control, under letter b, the policy stated, Be sure the catheter tubing and the drainage bag are kept off the floor. 2. Medical record review for Resident #46 revealed an admission date of [DATE] with diagnoses including chronic pain, low back pain, bipolar disorder, chronic obstructive pulmonary disease, depression, migraine disorder, chronic insomnia due to mental disorder, chronic constipation, pressure ulcer, hypertension, obesity, osteomyelitis, type two diabetes, and COVID-19. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #46 had intact cognition. Resident #46 required extensive assistance to total assistance for bed mobility, transfers, and toileting. Resident #46 required supervision for meal consumption. Resident #46 did not have any behaviors or rejection of care during the look back period. Resident #46 did not have a diagnoses of claustrophobia coded. Review of the plan of care dated [DATE] revealed Resident #46 required isolation due to testing positive for COVID-19. Interventions included educate resident on droplet isolation procedure, encourage resident to keep door shut, encourage resident to practice stress relief techniques to help with anxiety from door being closed, isolation maintained by staff during acute infections period, isolation to be discontinued as soon as infections no longer exists, resident will be served every meal in room on disposable dinnerware, and staff to monitor resident for signs and symptoms of depression. An intervention was added on [DATE] after surveyor intervention to reflect the resident's preference to keep his door open. The facility would honor the resident's preferences. Review of the plan of care dated [DATE] revealed no goals and interventions in place related to claustrophobia. Further review of the medical record, including progress notes from [DATE] to [DATE] revealed no documentation related to diagnoses or assessments related to Resident #46 suffering from claustrophobia. Observation on [DATE] at 7:40 A.M. revealed Resident #46's door was open to the hallway, and there was no barrier in place. Resident #46's door had signage posted stating the resident was on droplet precautions due to COVID-19. Resident #46 was in the first bed, closet to the doorway to the facility hallway. Interview on [DATE] at 7:45 A.M. with State Tested Nursing Assistant (STNA) #88 revealed Resident #46's door was left open due to the resident being claustrophobic. STNA #88 stated Resident #46's room door was always open. Interview on [DATE] at 5:00 P.M. with Infection Control Licensed Practical Nurse (LPN) #6 and Clinical Operation Specialist/Interim Director of Nursing Registered Nurse (RN) #32 revealed Resident #46 was claustrophobic and could not have his door closed. Additionally, LPN #6 and RN #32 reported a (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 21 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some health care association had advised facilities they were not allowed to utilize any barriers related to COVID-19 positive residents, as the wavier had expired. RN #32 verified Resident #46's door did not have any kind of respiratory barrier in place during the isolation period, at any time, during his isolation for COVID-19 from [DATE] through [DATE]. Review of the facility's infection control policy titled, Coronavirus Disease (COVID-19)- Identification and Management of Ill Residents, dated 09/2022 revealed residents with suspected or confirmed SARs-CoV-2 (COVID-19) infections are placed in a single person room. The door will be kept closed (if safe to do so) and ideally the resident will have a dedicated bathroom. Review of the CDC guidance titled, Infection Control Guidance, dated [DATE] revealed a patient with suspected or confirmed SARS-CoV-2 infection in a single-person room and the door should be kept closed if safe to do so. 3. Medical record review for Resident #15 revealed an admission date of [DATE] with diagnoses including hypertension, pain, anemia, hemiplegia, and hemiparesis following a stroke. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #15 had intact cognition. Resident #15 required extensive assistance for bed mobility, transfers, and toileting. Resident #15 was supervised for meal consumption. Observation on [DATE] at 10:15 A.M. revealed Social Services Designee (SSD) #10 was sitting in her office with Resident #15 sitting in his wheelchair, close to the right side of SSD #10's desk. Further observation revealed SSD #10 had her surgical mask below her chin, exposing her mouth and nose. SSD #10's face shield was pulled over the top of her head, exposing her nose and mouth during conversation with the resident. SSD #10 and Resident #15 were within six feet of each other for longer than 15 minutes. Resident #15 did not have a mask on at the time of the observation. Interview on [DATE] at 10:25 A.M. SSD #10 stated she did not have to wear a mask when she was in her office, regardless if residents were in the office with her, as it was considered a private space. Interview on [DATE] at 5:00 P.M. with Infection Control LPN #6, Clinical Operation Specialist/Interim Director of Nursing Registered Nurse (RN) #32 stated staff were educated on the use of face masks and face shields. When the facility community transmission rate was red (high), all staff were required to wear surgical masks. When the facility had an outbreak (one of more residents test positive for COVID-19, face shields are implemented by all staff). RN #32 verified staff were not to be in offices with residents without face shields and masks in place. Review of the CDC COVID Data Tracker revealed on [DATE] the county in which the facility resides in had a community transmission level of red, indicating the transmission level was high. Review of the CDC guidance titled, Infection Control Guidance, dated [DATE] revealed when SARS-CoV-2 (COVID-19) Community Transmission levels are high, source control was recommended for everyone in a health care setting when they could encounter patients. 4. Medical record review of Resident #48 revealed an admission date of [DATE] with diagnoses including COVID-19, kidney failure, dementia, hypokalemia, and post laminectomy. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 22 of 23 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365483 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/24/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stillwater Skilled Nursing and Rehabilitation 75 Mote Drive Covington, OH 45318 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #48 had impaired cognition. Resident #48 required limited assistance for bed mobility and transfers, extensive assistance with toileting, and supervision for eating. Review of the plan of care for Resident #48 dated [DATE] revealed Resident #48 was at risk for elopement/wandering related to dementia. Interventions include involve in activities of choice, one-on-one (1:1) allow to vent feelings, assess risk factors per facility procedures, follow facility elopement procedures, monitor, and report changes in behavior: restlessness, pacing, etc, provide diversional activities of interest as needed, redirect as needed, resident resides on secured unit for safety. Review of the physician orders for Resident #48 revealed orders for Flonase Suspension 50 micrograms (MCG), one spray in both nostrils in the morning for allergies dated /1/2023, Loratadine Tablet Give 10 mg by mouth in the morning for allergies dated [DATE] and house liquid protein in the morning for nutritional supplementation for nutritional support dated [DATE]. Observation on [DATE] at 8:09 A.M. revealed License Practical Nurse (LPN) #48 preparing medications for administration to Resident #48. LPN #48 poured nutritional support 30 milliliters (ml) into a medication administration cup and set it on the top of the medication cart. LPN #48 then retrieved Flonase nasal inhaler from the medication cart and set it on the top of the medication cart. LPN #48 then prepared allergy relief one 10 milligram (mg) tablet in a second medication cup, setting it on the medication cart. LPN #48 picked up the nutritional liquid and set it inside of the second medication administration cup with the allergy relief tablet so the bottom of the medication cup that was previously sitting on the medication cart was directly on top of the tablet and touching. LPN #48 proceeded into Resident #48's room and administered the medication to the resident. Interview on [DATE] at 8:13 A.M. with LPN #48 verified she did not clean the top of the medication cart prior to preparing the medication. LPN #48 verified she stacked the medication administration cups on top of each other, allowing the bottom of one cup to touch the medication inside the second cup and should not have. Review of the nurse education dated [DATE] revealed Clinical Operation Specialist RN #32 educated LPN #48 that it was never acceptable to place medication cups, that have been placed on an un-sanitized surface, on anything ingestible such as medication. Review of the facility policy titled, Administering Medication, dated 04/2019 revealed staff will follow established facility infection control procedures for the administration of medication. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365483 If continuation sheet Page 23 of 23